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<br />..~....,-~....."",",~. - <br /> <br />_. .. ..''0 .~.. ''''''''~'''''''--;~.''''-'' ~'~"""'.~"'_,"."".M'_' ""P""""."" <br /> <br />APPLICAnOR FOR PEBKIT <br />CITY OF ZEPBYRBILLS <br />BUILDIRG DEPAR'l"HBRT <br /> <br />OWRER'S IWIE hv.;f <br /> <br />OWRER.' S ADDBBSS <br /> <br />7570 <br /> <br />I <br />/q-!h <br /> <br />F/ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESClUP'lIOR: LDT(S) <br />PARCEL I.D.' <br /> <br />BLOCIL--SUBDIVISION <br />(OBTAIR FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----Addition .J(.A.lteration ----llepair _Install <br /> <br />_Sign <br /> <br />.-Jlove <br /> <br />->>eJIolish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />----1t/F _' of Units ----1t/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />----llestaurant Ii: Health Departaent Approval <br />DESCRIPTIOR OF WORK: ReVl 0 l./a.J-/~'''' C'{ ff~ fcAQ~ <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEI1TIAL: <br />cotIKBRCIAL : <br /> <br />ATTACH (2) PLOT PLARS &: (2) SETS OF BUILDING PLARS &: (1) SET ERERGY FOBMS. <br />ATTACH (3) SETS OF BUILDIRG PLARS &: (1) SET ERERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL REW CORSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />.-BUILDIRG <br /> <br />" t:) <br />$/l-l713. <br /> <br />Valuation of Total Construction <br /> <br />RT.Rcr.RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.-JtEClWlICAL <br />.-.J'LUKBIRG <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />GAS <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF mRSTB.ucrIOR: ---B1ocIt _Fraae _Steel <br /> <br />Other <br /> <br />PIRISBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECT IR FLOOD ZORE AREA! <br /> <br />YES NO <br /> <br />**...*..................**................ <br /> <br />CORTRACTOR SECTION <br /> <br />BIITl.DRR ~ mtlPAIIY Wt. ~ ~. t1 (e k e ~OV'\ r VI L , <br />:if ;J pf /1 State Cert. or Regist. , C {.; r 047"0' <br />Signature- "-btJ'a /1 fL/J ~ City License Registration' ~ t/51 <br />..*..*................................... <br /> <br />:~~~ Q COMPANY L#Tt'fIb't ~~ c; <br />, · /. ... / State Cert. or Regist.' Gc ceo /2-lf{ <br />~- << ~ ~.; 4- ~ City Liceose lle8istratioa . :!Ie 3 <br />.....*' ....................*............. <br /> <br />mtlPARY 1-7 c, Id . d <br />/?-' - . ~ State Cert. or Regist. f <br />~ City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br /> <br />PLtIIBER <br /> <br />IlECllAllICAL <br /> <br />Signature <br /> <br />{Vf? <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />...*...................................... <br /> <br />O'I'RRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.....*.....................*.............. <br /> <br />Signature <br /> <br />APPLICATIOII APPIlOVIlD IlY J1 ~ m M-4r <br /> <br />PEBKIT OFFICER. <br />